Individual
MS. AKILAH ALLEYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17810 WEXFORD TER, JAMAICA, NY 11432-3050
(718) 658-1123
(718) 658-7091
Mailing address
2190 MADISON AVE, 3F, NEW YORK, NY 10037-2205
(785) 554-7460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08EI124711R1X00
PROCUREMENT IDENTIFICATION NUMBER
NY
01
—
53200
EARLY INTERVENTION PROVIDER AGREEMENT NUMBER
NY
Enumeration date
07/18/2012
Last updated
08/07/2012
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